Nereida Silva

Healthcare Credentialing Specialist with 5+ years of experience in hospital and facility credentialing, including VA hospitals, CBP medical facilities, and teleradiology services. Skilled in primary source verification, privileging support, re-credentialing, payer enrollment, and credential file maintenance in high-volume, compliance-driven environments with strong attention to provider data accuracy, documentation, deadlines, and audit readiness.

Credentialing Specialist - Vesta Teleradiology - Orlando, FL

(2026-09)

• Manage credentialing and re-credentialing for radiologists providing services to hospitals, imaging centers, and other healthcare facilities.
• Coordinate hospital and facility credentialing and privileging applications, following up with Medical Staff Offices and facility contacts to meet onboarding and appointment requirements.
• Perform primary source verification and maintain credential files, including licenses, certifications, education, work history, malpractice information, and supporting documentation.
• Track expirables and outstanding requirements to keep providers current across multiple facilities.
• Use MDApp, CredMapping, and Modio for credentialing, documentation, tracking, and profile management.
• Support payer enrollment and facility-specific requirements while maintaining accurate provider data and timely status updates.

Credentialing Specialist II - Loyal Source Government Services - Orlando, FL

(2021-03 - 2025-09)

• Managed full-cycle credentialing and re-credentialing for providers assigned to VA hospitals and CBP medical facilities.
• Performed primary source verification of licenses, certifications, employment, references, NPDB records, and OIG exclusions to meet each facility's credentialing and privileging requirements.
• Coordinated provider onboarding, including background checks, drug screening, immunization documentation, and pre-placement requirements.
• Maintained provider records and credentialing status in CAQH, NPPES/NPI, Salesforce, and tracking systems; supported multi-state workflows.
• Tracked license, certification, and credential expirations using 90/60/30-day follow-up cycles and conducted credentialing file audits.
• Collaborated with providers, recruiters, leadership, and internal teams to resolve missing documentation and meet onboarding deadlines.

Claims Processing Specialist - SquareTrade - Orlando, FL

(2017-12 - 2018-12)

• Managed claims from submission through resolution, reviewed documentation, investigated discrepancies, and maintained accurate records in Salesforce.

Benefits & HR Services Specialist - Alight Solutions - Orlando, FL

(2015-09 - 2017-11)

• Supported employees with healthcare benefits, eligibility, enrollment, life events, and confidential records while coordinating issue resolution with HR and insurance partners.

Radiologic Technology - Keiser University (2026 - 2027)

Administrative Billing & Coding - Keiser University

BBA - Business Administration & Human Resources - Interamerican University of Puerto Rico